Nevada



-635-247650001504950-295275STATE OF NEVADAPublic Records RequestDeliver or Mail to: Nevada Cannabis Compliance Board555 E. Washington Ave Suite 4200Las Vegas, NV 89101Email to: PRR@ccb. 00STATE OF NEVADAPublic Records RequestDeliver or Mail to: Nevada Cannabis Compliance Board555 E. Washington Ave Suite 4200Las Vegas, NV 89101Email to: PRR@ccb. Date of Request FORMTEXT ?????Requestor Contact Information Name: FORMTEXT ?????Organization: FORMTEXT ?????Address: FORMTEXT ?????City, State, Zip: FORMTEXT ?????Phone: FORMTEXT ?????E-mail: FORMTEXT ?????Records Requested: Check one: FORMCHECKBOX Paper copies FORMCHECKBOX Electronic copies FORMCHECKBOX Certified copies FORMCHECKBOX Inspection (in person) Please be specific and include as much detail as possible regarding the records you are requesting. FORMTEXT ?????To complete an estimate, the agency will need the following information: FORMCHECKBOX I will pick up FORMCHECKBOX Please FedExFed Ex billing number: FORMTEXT ????? FORMCHECKBOX Please send USPS FORMCHECKBOX E-mail (if format allows)Statement FORMCHECKBOX I understand there is a charge for copies of public records. I understand I will receive a written estimate for production of the records indicated above if the estimated cost is expected to be over $25.00, which I will be required to pay in full prior to inspection or reproduction. Materials will be held for 30 days. RequesterSignature FORMTEXT ?????Signature Office Use OnlyRequest status:Estimate:Date__________________ Request receivedEstimate:$ _______________________________________Receipt acknowledgement issuedDate deposit received________________________________________Request filledActual (if different): $ _______________________________________Estimated completionDate final payment received________________________________________Estimate providedCompleted by________________________________________Request denied in whole__________________Other:Retain request form for 90 days following completing of request. RDA 2009047 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download